49D2248189 CLIA NUMBER - LIFETIME PHARMACY AND COMPOUNDING

Laboratory Demographics

  • CLIA Code: 49D2248189
  • Facility Name: LIFETIME PHARMACY AND COMPOUNDING
  • Facility Address: 2068 DANIEL STUART SQUARE
    WOODBRIDGE, VA
    ZIP 22191
  • Facility Phone: 571 380-3881
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALI ALSHAIKHLI
  • NPI Number: 1699438853
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2248189
LAB Type Pharmacy
Facility Name LIFETIME PHARMACY AND COMPOUNDING
Street 2068 DANIEL STUART SQUARE
City WOODBRIDGE
State VA
ZIP 22191
Phone 571 380-3881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Pharmacy
Lab Director ALI ALSHAIKHLI

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This page was last updated on: 9/29/2025